Individual
SABA HAJIMOLLAALI KANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3103 CLEARWATER DR STE B, PRESCOTT, AZ 86305-7165
(928) 216-3366
Mailing address
3103 CLEARWATER DR STE B, PRESCOTT, AZ 86305-7165
(928) 216-3366
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD-001047
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107031720-00
—
OH
Enumeration date
05/29/2019
Last updated
03/18/2024
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